Pacifica Outpatient
LBN: Pacifica Health Services Llc
Pacifica Outpatient is an health care organization with primary practice located at 4911 Sw 19Th St , Des Moines IA 50315-4487. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Hearing and Speech, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty.
Pacifica Health Services Llc can be contacted via phone (515) 285-2559, or through Wolnerman, Allen Philip via phone (515) 285-2559.
Contact Information
Primary practice address
4911 Sw 19Th St
Des Moines IA 50315-4487
Phone: (515) 285-2559
Fax: (515) 285-6487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Hearing and Speech | 261QH0700X | 770692 | Iowa |
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 770692 | Iowa |
| Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X | 770692 | Iowa |
Profile Details
| NPI number | 1487881397 |
|---|---|
| LBN Legal business name | Pacifica Health Services Llc |
| DBA Doing business as | Pacifica Outpatient |
| Authorized official | Wolnerman, Allen Philip RPH, FASCP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 18th, 2009 |
| Last updated | Jun 18th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487881397 | NPPES |
| Iowa | MEDICAID | 0807321 |
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Pacifica Health Services Llc
4911 Sw 19Th St , Des Moines IA 50315-4487